Yes, that makes sense. The tariff is tight, but I'm encouraged by the
extras. Several questions now raise themselves.
1. How is everyone capturing this data? If you can't prove you did it
you won't get paid for it.
2. How are we going to manage the changes in activity that this will
provoke? Are radiology suddenly going to be offering to CT stuff we
previously fought to get done? (gasp!)
3. How does this help the avowed intention of the Government to limit
admissions? The pressure is really going to be on, particularly in
Trusts where money is tight, for admission to be considered more.
4. How is activity going to be managed? For example; we 'overperformed'
in the calendar year 2005 by 7.4%. Are the PCTs going to bring the
shutter down at contract end, so we will be working for free in March
2007 if we overperform again?
/Rowley./
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